GRECC Connect VIRTUAL Geriatrics Site - Salt Lake City, UT
Randall W. Rupper, MD, MPH
Dr. Rupper is the Interim Director, Clinical, GRECC, Salt Lake City
VA Healthcare System. He is also, a Professor (Clinical) of Internal Medicine,
School of Medicine, University of Utah.
His primary research involves evaluating and intervening in clinical systems
to improve the health and well-being of rural older adults patients and their
Paul Eleazer, MD
Dr. Eleazer is the Acting Associate Director for Clinical Programs, GRECC, Salt Lake City VA Healthcare System and Professor of Internal Medicine, School of Medicine, University of Utah School of Medicine. He has served in a number of leadership positions locally and on the national level. His career research interests have involved exploring ways to improve care of older adults by improving knowledge of geriatric principals employed by physicians and other health care providers.
Jenni-lyn Ladutko, PharmD, BCPS
Dr. Ladutko is a clinical pharmacy specialist within the outpatient
Geriatrics. She provides comprehensive
medication management for patients on the Geri-PACT team, as well as the
Geri-Assessment and GRECC-Connect consult services. She is a board certified pharmacotherapy
specialist and completed both a general PGY-1 and a mental health PGY-2
residency at the Salt Lake City VA Healthcare system. Prior to supporting these clinics, she worked
within the pain and palliative care teams.
Kathleen J. Hoenig, MS
Hoenig has worked with SLC GRECC for nine years. Before becoming coordinator
for GRECC Connect, she provided support for several projects, including: medication
consultation for recent hospital discharged Veteran patients and delivery of
geriatric education to primary care providers in rural locals. She provided consultation
for caregivers of rural Veterans living with dementia.
POC: 801-582-1565, ext. 4770, Kathleen.Hoenig@va.gov
The Salt Lake City VA GRECC Connect VIRTUAL Geriatrics leverages Clinical Video Telehealth (CVT) to close the quality gap and health disparities and limitation to health care specialists, and to improve quality of care for older rural Veterans. Consultations emphasize dementia care, polypharmacy, and geriatric syndromes. Primarily, consultations are held via VA Video Connect (VVC) with patients in their own homes. When necessary, consults may be conducted with patients at their local CBOCs.
A Mental Health Team with the Montana VA has joined forces with GC to provide consultations to rural Veterans. A growing number of patient/caregiver referrals are been made to GC from CBOCs across the state. GC also serves the Salt Lake VA Catchment, including the St. George CBOC.
- Salt Lake City VA GRECC Connect VIRTUAL Geriatrics consults
with caregivers/patients via VA Video Connect (VVC) when the appropriate
criteria are met: caregiver/family/patient has email, computer,
smartphone or other technology and the confidence to use these
- For those who have confidence in using technology, but do not
have the needed equipment, a VA tablet may be issued.
- The CBOC telehealth technicians and CBOC providers and other staff members play vital functions in the success of the GRECC services when consultation needs to be provided at a CBOC.
University of Utah School of Medicine: Internal Medicine Grand Rounds 11/12/2020 – “ Statins in Older Adults: The PREVENTABLE (Pragmatic Evaluation of Events and Benefits of Lipid-lowering in Older Adults) Trial.” Mark Supiano, G. Paul Eleazer, Clint Allred.
University of Utah, Department of Medicine, Division of Geriatrics, Geriatric Grand Rounds 10/13/2020 – “Caring for Older Inpatients during the Covid Pandemic” . G Paul Eleazer.
Implementation of a Polypharmacy Clinic in Vulnerable Elders (PAVE clinic) within Integrated Patient Aligned Care Teams (PACT) in Primary Care
Sehgal M, Syed Q, Callahan KE, Powers BB, Eleazer GP, Gleason LL, Ramaswamy R, Sauvigne K, Leipzig RM, Shah A. Introducing Aquifer Geriatrics, the American Geriatrics Society National Online Curriculum. J Am Geriatr Soc. 2019 Apr;67(4):811-817. doi: 10.1111/jgs.15813. Epub 2019 Apr 5. Erratum in: J Am Geriatr Soc. 2019 Oct;67(10):2216. PMID: 30950511.
Veterans Caregiving for Others: Caregiving as a Factor in the Health of America's Military Veterans.
Manley NA, Hicken BL, Rupper RW.
Mil Med. 2018 Jun 13. doi: 10.1093/milmed/usy131. [Epub ahead of print]
Predicting Psychiatric Hospitalizations among Elderly Veterans with a History of Mental Health Disease.
Burningham Z, Leng J, Peters CB, Huynh T, Halwani A, Rupper R, Hicken B, Sauer BC.
EGEMS (Wash DC). 2018 May 17;6(1):7. doi: 10.5334/egems.207.
The Impact of a Change in the Price of VA Health Care on Utilization of VA and Medicare Services.
Nelson RE, Hicken B, Vanneman M, Liu CF, Rupper R.
Med Care. 2018 Jul;56(7):569-576. doi: 10.1097/MLR.0000000000000922.
Historical and Current Advances That Incorporate Competing Risk for Benefit and Mortality in Older Patients With Cancer.
Clin Ther. 2018 Apr;40(4):504-511. doi: 10.1016/j.clinthera.2018.03.005. Epub 2018 Mar 27.
“Veterans’ Cognitive Assessment and Management Program” (V-CAMP) which became a primary means of service delivery for rural Veterans with dementia, leveraging Clinical Video Telehealth (CVT)
“Proactive Telehealth Enhanced Collaborative Geriatric Care” (ProTEC) provided proactive dementia care and medication management services through CVT.
“MoCA: A Brief Assessment of Cognition: Educational Resource Video” developed and produced by the Rural Provider and Health Care Staff Training and Education Initiative (RPSTI) Program of the Salt Lake City Geriatric Research, Education, and Clinical Center (GRECC), and the Employee Education System (EES); funded by the Office of Rural Health (ORH.) Video link: https://bcove.video/2i3SrYq This video is listed in TMS for continuing education credits.
“Connecting Older Veterans (Especially Rural) to Community or Veteran Eligible Resources” (COVER to COVER or C2C) program creates a new access point for Veterans seeking VA and community services.
George E. Wahlen Department of Veterans Affairs Medical Center
500 Foothill Drive, Salt Lake City Utah 84148 (801)582-1565
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